Confirming Pregnancy

Any woman who is sexually active and is not using protection can become pregnant. This section will help you to know for sure if you are pregnant.

Symptoms: (What you feel).
Delayed period (amenorrhoea): If your menses are delayed more than 10 days beyond the due date, with previous periods being regular and you have been sexually active, there is a very good chance of you having become pregnant.
"Morning sickness" (nausea): feeling sick, or vomiting in the morning (give a link for reasons).
Breast changes: Fullness, prickling sensations and heaviness in breasts is common. Your breasts may feel painful to touch also.
Urine problems: Feeling like urinating more often.
Tiredness (fatigue): feeling unusually tired and lethargic.
Food fads: Traditionally the image of a woman eating pickle /"imli" or other sour foods has been used to suggest pregnancy in Indian movies. There is some basis to this, as most women develop strong likes and dislikes for various food items in pregnancy. Rarely, there could also be craving for unusual thing such as mud.
Increased vaginal discharge.
Other bodily changes are:
Mood changes.
Excessive salivation.

Home Pregnancy Tests:
Advances in laboratory testing have now reached a stage where we have access to easy-to-use reliable pregnancy test kits over the counter
In pregnancy, the growing tissues of the new conception (early foetus) secrete a special hormone into your body called ‘human Chorionic Gonadotrophin’ (hCG). This enters your blood as early as one week following fertilisation. This can be traced from your blood or urine by special tests. Home tests are done with urine.
TDepending upon the type and sensitivity of the test used, pregnancy can be detected as early as a day or two from the missed period.
Tests currently available include: .
In the first week (within 7 days of missed periods)
Pregcolor card (used extensively in India)
Velocit one step pregnancy test
Both these tests use the principle of 2 colored bands appearing if you are pregnant and only one band appearing if you are not
Within 2 weeks of missed period:
Pregcolour bottle
Granindex slide test
These tests need a higher level of hCG before they become positive. Hence they become positive after five weeks from the last menstrual period.
Points to Note:
For best results, you must take care that

Urine is collected in a clean, dry container.
Early morning sample of urine is preferred.
A fresh sample is preferable

It may happen that a test result comes negative although you may be, in reality pregnant. This is more likely if:
Your cycles are irregular or are often delayed.
The testing has been done very early in pregnancy.In such cases, if the test is repeated after one week, it may become positive.
It is always advisable to confirm the pregnancy diagnosis by a qualified medical practitioner as all tests have their limitations.

First Visit to Doctor:
As discussed earlier, you may feel certain changes in your body, which tell you that you are pregnant. You may have done a home test to find out. However, it is good to consult a doctor to be sure. This is how your doctor can help you.
Signs ( What the Gynaecologist sees / feels) There various subtle changes in your body in pregnancy, which can be assessed before there are obvious physical changes.
General Examination:
Pulse rate goes up by 10 – 15 beats / minute.
Skin pigmentation increases. You may have a darker colored "butterfly" distribution rash on the face (chloasma).Using a sun protection cream may reduce the pigmentation.
Blood pressure tends to go low.

Darker pigmentation of the areola (area around nipple) and of the nipples.
Congestion of breasts and dilated veins seen over the breast.
Genital tract
Increased vaginal discharge (leucorrhoea) is common.
Dark, bluish discoloration of vagina and cervix due to congestion.
The cervix and uterus feel soft.
The uterus gradually starts increasing in size as pregnancy advances. However, it is difficult even for an experienced Gynaecologist, to definitely confirm pregnancy only by uterine size before 6 weeks from the last period. It is only after 3 months that the uterus can be felt on abdominal examination. Before that, an internal check-up is necessary.

Confirmatory Tests:
Tests advised by Doctor:
After examining you, your doctor may feel that certain tests need to be done. In particular, for early pregnancy you may be advised to do the following tests:
Serum beta - hCG: to confirm the pregnancy if urine testing is not conclusive, or help to decide the further treatment in case of complications, Such as presence of bleeding / spotting in early pregnancy.
Sonography: This test is very useful for various gynaecological conditions, especially pregnancy.

Role of Sonography in Confirming Pregnancy :
How soon can you know?
Abdominal sonography, scanning is done through a full bladder to see the uterus. Depending on the machine and operator’s experience, you can usually find A small echodense ring ( gestational /pregnancy sac in which the foetus is suspended or enclosed ) by 6 weeks,
See foetal echoes within the gestational sac by 8 weeks latest.
Transvaginal (internal) sonography, The resolution is better and pregnancy can be picked up earlier, as early as 4 and half weeks.
Is it necessary in all cases?
Not necessary if:
Your periods are fairly regular; you are not having any problem.
You remember your LMP (Last Menstrual Period) date properly.
May be necessary if:
Your periods are irregular.
You are not sure of your dates.
Your doctor feels it is advisable.
Necessary if:
You have any bleeding after missing a period.
There is doubt about whether the pregnancy is growing well.
There is suspicion of abnormal pregnancy especially ectopic or extra uterine pregnancy.

Calculation of Due Date:
Once you are sure you are pregnant, the question that comes to your mind, often, is when are you likely to deliver.There are various ways to estimate the due date, but you must remember that it is never absolutely a certain date. Although majority of women will deliver within a week before or after the due date, there may be variations Link to pre-term labour and prolonged labour in Abnormal deliveries Naegles rule: For a woman with regular 28 day cycles, the expected due date (EDD) can be calculated by adding 9 calendar months and 7 days to the first day of the last menstural period (LMP)
For Eg:
LMP 10-06-1999 -------- EDD 17-03-2000
LMP 28-10-1999 ---------EDD 04-08-2000.
If your cycles are regular, but either more or less than 28 days, you can calculate the date by adjusting the difference from 28.
For E.g.:
LMP 10-06-1999, cycles 30 days = EDD 19-03-2000
LMP 28-10-1999, cycles 25 days = EDD 01-07-2000
Your doctor will usually use this formula and calculate your date, so do not worry if your maths is not good.
We will help you calculate it too!!

Surgical Videos
Contact Us @
AMRI Hospitals
Near, Khandagiri,Bhubaneswar
Ph : +91-9777423413
Personal Address
Care n cure clinic ,
nayapalli near hotel crown ,Odisha,India
Ph :+91-9777423413
For Appointments in Clinic
Ph : 0674-2362543
Mob : +91-9438305601
Testimonials By Our Patients

"my painless delivery was conducted by Dr Harpreet kaur by epidural , it was a wonderful experience as I was expecting severe pain & wht I got was a cute baby born absolutely painless that too 3.8 kgs ! 
Also my recovery was faster ..
Mrs suman , siligudi ."

" I was very tensed & fearing the pain of delivering my baby , then I was offered painless delivery option by Dr Harpreet kaur . As my labor pains started I ws given that inj by an anesthesia doctor n after dat it ws vry cmfrtabl and painless ..I got a taste of how severe the pain could had been whn during shifting the inj got disconnected for a min ..
Thanks to Dr Harpreet kaur & her team I was able to deliver painlessly ! 
Mrs jyoti tanwar , ghaziabad , Delhi ncr "

" We had been married for 5 years but couldnt conceive , we consulted many doctors in Delhi & Mumbai ..and were planning for IVF , test tube baby .
Then we consulted Dr Harpreet kaur , she suggested some more investigations and then put both of us on medicines , I conceived ..n m a happy mother now ..
Thank you Dr Harpreet kaur .
Mrs kajal Sharma , Mumbai "

" we were desperate for a child even after 6 years of marriage ..had shown to many doctors , finally after we consulted Dr Harpreet kaur at Delhi ..after some months , my wife was pregnant & v r a happy family now .
Mrs & Mr shekhar Verma , Delhi ncr "

" my wife finally conceived & delivered under treatment of Dr Harpreet kaur. Thanks to her .
Mr Deepak ,marketing manager , rg hospitals , Delhi ncr "

"I was suffering from severe menstrual bleeding & pain for almost an year due to multiple large fibroids in my uterus .. I was taking medicines for many months but no benefit , was advised hysterectomy , but was afraid of large cut & pain n delayed recovery ..
Whn we consulted Dr Harpreet kaur she suggested laparoscopic surgery , n told that only small holes will be made n my uterus will be taken out through those small holes in pieces ..
I underwent surgery , & was discharged in 2 days and was back to normal work in a week ! 
Thanks to Dr  Harpreet & laparoscopic surgery otherwise I would never had got operated ..
Mrs meena , faridabad , Delhi ncr "

" I was diagnosed with my tubes blocked ,and was advised. Tubal recannulation surgery by open. .
Someone suggested me Dr Harpreet kaur , she explained & offered me hysteroscopic tubal cannulation without any cut ! 
Procedure was done in morning & I was discharged in the evening ! 
Now I have high chances of conception ..
Thanks Dr Harpreet kaur & team .
Mrs sunita , Delhi ncr "

and many more....
Plan Your Pregnancy
Anaemia in Pregnancy
Ectopic Pregnancy
Heart Disease
Multiple Pregnancy
Vomiting in Pregnancy
Caesarean delivery
Confirming Pregnancy
Breech Delivery
Overdue Baby
Normal Delivery
Overdue Pregnancy
Pregnancy Counselling
Labour Analgesia
Normal Puerperium
Understanding Conception
Uterine Fibroids
Cervical Cancer
Endometrial Cancer
Breast Cancer
Ovarian cyst
Copyright © 2013 Dr. Harpreet Kaur. All Rights Reserved. Designed by - Aditya Hosting